AmeriCorps*National Civilian Community Corps Team Leader Application

ICR 201106-3045-001 · OMB 3045-0005 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3045-0005 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction	Modified	Repair queued
NCCC Team Leader App Justification.doc	Supporting Statement A	Uploaded 2011-08-05	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
29193	AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0005	ICR Reference No: 201106-3045-001
Status: Historical Active	Previous ICR Reference No: 200802-3045-002
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps*National Civilian Community Corps Team Leader Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/10/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/29/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	400	0	300
Time Burden (Hours)	800	0	300
Cost Burden (Dollars)	0	0	0

Abstract: The AmeriCorps NCCC Team Leader application is the first part of the application process for acceptance into the NCCC program. This application is used to determine the eligibility of applicants to successfully serve in the Team Leader role. This renewal request updates the application with factual changes to agency demographics, statutory language changes, and reflects non-substantive programmatic changes such as the addition of new NCCC campuses.

Authorizing Statute(s): US Code: 42 USC 12501 Name of Law: NATIONAL AND COMMUNITY SERVICE ACT OF 1990

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 22680	04/22/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36903	06/23/2011
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
AmeriCorps*National Civilian Community Corps Team Leader Application	1	NCCC Team Leader Application

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	400	300	100
Annual Time Burden (Hours)	800	300	500
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has increased because NCCC has grown to five campuses and so elicits and receives more team leader applications. The burden per response has increased based on appraisal of actual time it takes to fill out the application.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Amy Borgstrom 202 606-6930 [email protected]

Common Form ICR: No